Individual
KELLY BROOK LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(970) 242-0920
Mailing address
PO BOX 1687, GRAND JUNCTION, CO 81502-1687
(970) 242-0920
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0068466
CO
207P00000X
Emergency Medicine Physician
LL32025
SC
Other
Enumeration date
07/02/2009
Last updated
09/28/2022
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